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Clinical scenario:     Twin infants were born at 39 weeks of gestation to a healthy multiparous lady in our hospital. She had no history of any known trauma  during the pregnancy or at delivery. Her  gestational course was uncomplicated .  The antenatal ultrasound  in the third trimester revealed twin pregnancy and normal maternal uterus,her […]

Fig 1 Marked area shows huge hepatomegaly 

Clinical scenario:     A 48 year old male was admitted for evaluation of Nephrotic range proteinuria and was planned for kidney biopsy in our hospital . One week before admission he was evalauted  as an outpatient for his progessive edema feet , pitting type of 4 weeks duration . Apart from eddema feet his […]